Unilateral lumbosacral dislocation: case report and a comprehensive review

Open Orthop J. 2012;6:473-7. doi: 10.2174/1874325001206010473. Epub 2012 Nov 2.

Abstract

Lumbosacral fracture-dislocation is a rare occurrence. There are more than 73 cases reported in the English literature. We report on the imaging findings and surgical treatment in a patient suffered of unilateral traumatic L5-S1 dislocation associated with severe disruption of the posterior ligamentous complex. The patient underwent open reduction and stabilization of L4-S1 vertebrae with posterior instrumentation system. Open reduction and internal fixation was mandatory as post-traumatic ligamentous insufficiency would lead to abnormal motion. Operative treatment managed to produce a solid arthrodesis and restore stability of the lumbosacral junction. Follow-up revealed excellent results. This study reports a rare injury of the lumbosacral junction, and the literature concerning this unusual condition is extensively reviewed.

Keywords: Unilateral lumbosacral dislocation; case report; review.; surgery.

Publication types

  • Case Reports